| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,663 |
1,565 |
$44K |
| S4993 |
Contraceptive pills for birth control |
493 |
490 |
$42K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
503 |
500 |
$32K |
| 81025 |
|
4,279 |
3,794 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
768 |
758 |
$28K |
| 99000 |
|
2,442 |
2,395 |
$22K |
| A4267 |
Contraceptive supply, condom, male, each |
3,170 |
2,846 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
920 |
877 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
217 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
503 |
500 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
44 |
$3K |
| 85018 |
|
1,337 |
1,317 |
$2K |
| 80061 |
Lipid panel |
312 |
309 |
$2K |
| 87210 |
|
324 |
311 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
12 |
$294.80 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$294.80 |
| 81002 |
|
62 |
58 |
$175.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$129.03 |